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Get ORP-3 Form - Northcarolina

(MM/DD/YYYY) STATE ZIP CODE UNC EMPLOYING INSTITUTION (YOUR CAMPUS NAME) SOC. SEC NO. TELEPHONE NO. EMAIL ADDRESS DATE OF ELIGIBLE EMPLOYMENT (MM/DD/YYYY) PREVIOUS UNIVERSITY OF NORTH CAROLINA OR OTHER STATE AGENCY EMPLOYMENT LIST INSTITUTION NAME(S) AND DATES SECTION B. RETIREMENT ELECTION I hereby elect to participate in the UNC Optional Retirement Program (UNC ORP) in lieu of membership in the North Carolina Teachers and State Employees Retirement System, as provided under G.

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